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Geriatrics NUR 225 Practice Questions and Correct Answers $8.99   Add to cart

Exam (elaborations)

Geriatrics NUR 225 Practice Questions and Correct Answers

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  • Course
  • NUR 225
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  • NUR 225

Geriatric/older adult age range? 65+ Leading causes of hospitalizations? -CVD -community-acquired pneumonia What makes older adults more vulnerable to hospitalizations? comorbid chronic illnesses, disability Normal Changes: Sensory -presbyopia -decreased vision night acuity -presbycusis -decreas...

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  • September 8, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 225
  • NUR 225
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twishfrancis
Geriatrics NUR 225 Practice Questions
and Correct Answers
Geriatric/older adult age range? ✅65+

Leading causes of hospitalizations? ✅-CVD
-community-acquired pneumonia

What makes older adults more vulnerable to hospitalizations? ✅comorbid chronic
illnesses, disability

Normal Changes: Sensory ✅-presbyopia
-decreased vision night acuity
-presbycusis
-decreased thirst drive
-alerted/diminished smell and taste

Presbyopia ✅vision impairment caused by diminished power of accommodation from
loss of elasticity of lens

Presbycusis ✅age related hearing loss

What are normal parts of aging that may cause nutrition impairment? ✅-decreased
thirst drive
-alerted/diminished smell and taste

Normal changes: Neurological ✅-decrease in # and size of neurons
-alterations in sleep wake cycle

What happens when there is a decrease in number and size of neurons? ✅-voluntary
reflexes are slower
-less ability to respond to multiple stimuli

What are the implications of an altered sleep-wake cycle in the older adult? ✅-difficulty
falling asleep
-difficulty staying asleep
-waking too early
-excessive daytime napping

Normal Changes: Cardiovascular ✅-decreased CO, SV, and venous return
-↑ rates of HTN, syncope, MI, Stroke, Renal failure

, Normal Changes: Respiratory ✅-decreased lung expansion
-dry and fragile mucous membranes
-a diminished cough reflex
-decrease in immunity
-calcification of the costal cartilage →stiffer chest wall, harder to expand

What are the implications of the normal changes in the respiratory system? ✅-more
susceptible to infection
-worse outcomes in recovery

Normal Changes: MS ✅-decreased tone and strength
-degeneration of joints and bones
-decreased intervertebral disc spaces leading to height loss

Normal Changes: Renal and Hepatic function ✅-decreased renal size, blood supply,
creatinine clearance, glomerular functioning, tubular functioning
-decreased hepatic blood flow in the liver

What is important to note about changes in renal and hepatic function? ✅Medication
safety!
-drug metabolism is affected by the efficiency of the liver and kidneys
-know what dose to give and monitor for toxicity

Normal Changes: Integumentary ✅-loss of skin tugor and elasticity
-thinning and fragility
-dry skin and hair
-wrinkles and age spots
-grey hair
-thicker ear and nasal hair
-thicker nails
-diminished sweat glands

Normal Changes: Sexual Health ✅- monitor for stis, Dyspareunia (pain during sex), ED
-Libido (sex drive) is NOT diminished in normal aging

True or False: Cognitive impairment in the older adult is never normal ✅TRUE

What are three common cognitive impairments seen in the hospitalized older adult?
✅Delirium, Dementia, Depression

Which of the following is not reversible: delirium, dementia, depression ✅Dementia

Out of the three d's, which is more common? ✅Depression
-1/3 experience symptoms

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